<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Prize_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-prize_name" data-rule="required" class="form-control" name="row[prize_name]" type="text" value="{$row.prize_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Gift_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-gift_name" class="form-control" name="row[gift_name]" type="text" value="{$row.gift_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Gift_image')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-gift_image" class="form-control" size="50" name="row[gift_image]" type="text" value="{$row.gift_image|htmlentities}">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="plupload-gift_image" class="btn btn-danger plupload" data-input-id="c-gift_image" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp" data-multiple="false" data-preview-id="p-gift_image"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <span><button type="button" id="fachoose-gift_image" class="btn btn-primary fachoose" data-input-id="c-gift_image" data-mimetype="image/*" data-multiple="false"><i class="fa fa-list"></i> {:__('Choose')}</button></span>
                </div>
                <span class="msg-box n-right" for="c-gift_image"></span>
            </div>
            <ul class="row list-inline plupload-preview" id="p-gift_image"></ul>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Gift_num')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-gift_num" class="form-control" name="row[gift_num]" type="number" value="{$row.gift_num|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Sort')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-sort" class="form-control" name="row[sort]" type="number" value="{$row.sort|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Chance')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-chance" class="form-control" name="row[chance]" type="number" value="{$row.chance|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('钱包种类')}:</label>
        <div class="col-xs-12 col-sm-8">
            {:Form::select('row[wallet_type]', ['1'=>'静态钱包', '2'=>'任务钱包', '3'=>'活动钱包'], $row['wallet_type'], ['data-rule'=>'required'])}
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
